20220770 Ver 1_More Info Received_20220816 (5)

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
Pre-Filing Meeting Date Request was submitted on:*
If this is a courtesy copy, please fill in this with the submission date.
County (or Counties) where the project is located:*
Is this a NCDMS Project *
Is this project a public transportation project?*
1a. Type(s) of approval sought from the Corps:*
Has this PCN previously been submitted?*
1b. What type(s) of permit(s) do you wish to seek authorization?*
1c. Has the NWP or GP number been verified by the Corps?*
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:*
1e. Is this notification solely for the record because written approval is not required?
*
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after-the-fact permit application?*
A. Processing Information
4/14/2022
Chatham
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Yes
No
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
29 - Residential Developments
List all NW numbers you are applying for not on the drop down list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
Yes No
Yes No
Yes No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?*
1j. Is the project located in a designated trout watershed?*
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
1d. Who is applying for the permit?*
1e. Is there an Agent/Consultant for this project?*
2. Owner Information
4. Agent/Consultant (if applicable)
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
Click the upload button or drag and drop files here to attach document
Corbett Landing - Stream SOA 06-03-2022.pdf 157.95KB
FILE TYPE MUST BE PDF
Yes No
Yes No
B. Applicant Information
Camden Brunick
[e-mail]
(xxx)xxx-xxxx
[phone]
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name(s) on recorded deed:*
2b. Deed book and page no.:
2c. Contact Person:
2d. Address *
2e. Telephone Number:*
2f. Fax Number:
2g. Email Address:*
The Rexford Group LLC
DB: 2174 DP: 0933 & DB: 2174 DP: 0958
(for Corporations)
Rexford D'Aprix
City
Chapel Hill
State / Province / Region
NC
Postal / Zip Code
27517
Country
USA
Street Address
362 Mountain Laurel
Address Line 2
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
4a. Name:*
4b. Business Name:
Camden Brunick
(if applicable)
Soil & Environmental Consultants, PA
1a. Name of project:*
1b. Subdivision name:
1c. Nearest municipality / town:*
2a. Property Identification Number:2b. Property size:
2c. Project Address
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:*Longitude:*
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
3b. Water Resources Classification of nearest receiving water:*
Surface Water Lookup
3c. What river basin(s) is your project located in?*
3d. Please provide the 12-digit HUC in which the project is located.*
River Basin Lookup
4. Project Description and History
4c. Address *
4d. Telephone Number:*4e. Fax Number:
4f. Email Address:*
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27615
Country
USA
Street Address
8412 Falls of Neuse Road, Suite 104
Address Line 2
[phone]
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
C. Project Information and Prior Project History
1. Project Information
Corbett Landing
(if appropriate)
Pittsboro
2. Project Identification
(tax PIN or parcel ID)
0006580 & 0069515
(in acres)
+/- 196
City
Pittsboro
State / Province / Region
NC
Postal / Zip Code
27312
Country
USA
Street Address
0 Old Graham Road
Address Line 2
(Just east of Milliken Road)
35.758253
ex: 34.208504
-79.194722
-77.796371
Brooks Creek
WS-IV,B;NSW
Cape Fear
030300020702
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project:*
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR.
6. Future Project Plans
6a. Is this a phased project?*
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity? This includes other
separate and distant crossing for linear projects that require Department of the Army authorization but don’t require pre-construction notification.
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e. Forested *2f. Type of Jurisdicition *
(?)
2g. Impact
area *
Existing conditions onsite consists primarily of forested land. There is a dirt path that leads from the northeastern corner of the property to a single family home in the center of the property.
There are seventeen (17) wetland features (W1-W17), nine (9) linear wetlands (LW1-LW9), four (4) perennial streams (SA, SB, SC & SD), and four (4) intermittent streams (SE, SF, SF2 &
SG) located on the property. General land use in the vicinity of the project consists of forested land with some rural single family homes. Old Graham Road is located just east of the
property. Milliken Road is located to the west of the property and Highway 64 is located to the South.
Yes No Unknown
Approximately 1.64 acres
(intermittent and perennial)
Approximately 7,459 LF
The purpose of this project is to construct a single family residential development and its necessary infrastructure.
The overall project consists of the construction of a single-family residential development including but not limited to; roadway infrastructure, residential lots, SCMs, utilities, and amenity
area. Specifically, there are three (3) road crossings that impact streams and wetlands and one (1) driveway crossing that impacts a linear wetland. Equipment typically used for
construction and earthwork such as backhoes, bulldozers, excavators, graders, pavers etc. will be utilized for this project.
Yes No Unknown
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
SAW-2021-00686
Steven Ball
Soil & Environmental Consultants, PA
USACE: Site visit and PJD issued by James Lastinger on June 4th, 2021.
Yes No
It is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
Impact B Road Crossing P Bottomland Hardwood Forest LW6 Yes Both 0.003
(acres)
2g. Total Temporary Wetland Impact
2g. Total Permanent Wetland Impact
2g. Total Wetland Impact
2i. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e. Stream Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
length *
S1
S2
S3
S4
S5
S6
S7
S8
S9
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
3i. Total stream and ditch impacts:
3j. Comments:
1. Avoidance and Minimization
Impact C Road Crossing P Headwater Forest LW1 Yes Both 0.007
(acres)
Impact D Driveway Crossing P Bottomland Hardwood Forest LW4 Yes Both 0.001
(acres)
Impact D Driveway Crossing T Bottomland Hardwood Forest LW4 Yes Both 0.001
(acres)
0.001
0.011
0.012
Impact A - Road Crossing -
Culvert
Permanent Culvert Stream A Perennial Both 11
Average (feet)
61
(linear feet)
Impact A - Road Crossing -
RipRap (Permanent-No
Permanent Loss)
Permanent Other Stream A Perennial Both 10
Average (feet)
35
(linear feet)
Impact A - Road Crossing -
Temporary Construction
Access
Temporary Other Stream A Perennial Both 7
Average (feet)
63
(linear feet)
Impact B - Road Crossing -
Culvert
Permanent Culvert Stream D Perennial Both 8
Average (feet)
58
(linear feet)
Impact B - Road Crossing -
RipRap (Permanent-No
Permanent Loss)
Permanent Other Stream D Perennial Both 8
Average (feet)
25
(linear feet)
Impact B - Road Crossing -
Temporary Construction
Access
Temporary Other Stream D Perennial Both 6
Average (feet)
50
(linear feet)
Impact C - Road Crossing -
Culvert
Permanent Culvert Stream F & F2 Intermittent Both 5
Average (feet)
204
(linear feet)
Impact C - Road Crossing -
RipRap (Permanent-No
Permanent Loss)
Permanent Other Stream F & F2 Intermittent Both 3
Average (feet)
17
(linear feet)
Impact C - Road Crossing -
Temporary Construction
Access
Temporary Other Stream F & F2 Intermittent Both 4
Average (feet)
12
(linear feet)
0
400
125
525
E. Impact Justification and Mitigation
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
2c. If yes, mitigation is required by (check all that apply):
2d. If yes, which mitigation option(s) will be used for this project?
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased/Requested (attach receipt and letter)
Type:Quantity:
3c. Comments
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented riparian buffer protection program,
include a plan that fully documents how diffuse flow will be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation shall be
provided.
S&EC completed a wetland delineation and buffer evaluation for the entire property so that natural resources can be identified and impacts minimized to
the maximum extent practicable. Impact Area ‘A’ is proposed permanent, permanent-no permanent loss, and temporary stream impacts for a road
crossing. This crossing is necessary to connect the northwestern portion of the property with the rest of the development. The crossing will occur at a
perpendicular angle with the stream and utilize headwalls to minimize stream impacts. A riprap dissipator that will be utilized to reduce flow velocities
and minimize stream degradation. A temporary diversion pump, coffer dams, dewatering pump, and discharge hose will be utilized during construction to
divert stream flows and minimize the release of sediments during construction activities. Compensatory stream mitigation has been proposed @2:1
mitigation ratio to offset permanent stream impacts. Impact Area ‘B’ is proposed permanent, permanent-no permanent loss, temporary stream impacts
and permanent wetland impacts for a road crossing. This crossing is necessary to connect the southeastern portion of the property with the rest of the
development. This crossing was also placed just west of adjacent wetland 9 to avoid higher wetland impacts. The crossing will occur at a perpendicular
angle with the stream and utilize headwalls to minimize stream impacts. A riprap dissipator that will be utilized to reduce flow velocities and minimize
stream degradation. A temporary diversion pump, coffer dams, dewatering pump, and discharge hose will be utilized during construction to divert stream
flows and minimize the release of sediments during construction activities. Compensatory stream mitigation has been proposed @2:1 mitigation ratio to
offset permanent stream impacts. Impact Area ‘C’ is proposed permanent, permanent-no permanent loss, temporary stream impacts and permanent
wetland impacts for a road crossing. This crossing is necessary to connect a portion of the southwestern part of the property with the rest of the
development. The crossing will occur at the top of the drainage areas and utilize headwalls and retaining walls to minimize stream impacts. A riprap
dissipator that will be utilized to reduce flow velocities and minimize stream degradation. Compensatory stream mitigation has been proposed @2:1
mitigation ratio to offset permanent stream impacts. Impact area ‘E’ is proposed permanent and temporary linear wetland impacts for a driveway
crossing. This driveway crossing is necessary to access the lot and has been strategically placed between Wetland 3 and Wetland 4 to avoid any higher
wetland impact totals. A pipe will be utilized for the crossing to allow for hydrologic connectivity.
Significant erosion control measures such as phased construction sequencing, silt fence, cofferdams at culvert crossings in conjunction with bypass
channels and pump arounds if needed.
Yes No
DWR Corps
Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation
Cane Creek Umbrella Mitigation Banking Instrument
Stream 646 LF
Yes No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
Yes No
What type of SCM are you providing?
For a list of options to meet the diffuse flow requirements, click here.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT’s Individual NPDES permit NCS000250?*
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
To look up low density requirement click here 15A NCAC 02H .1003(2).
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state-approved local government stormwater program?*
2d. Which of the following stormwater management program(s) apply (check all that apply):*
Local Government Stormwater Programs *
Please identify which local government stormwater program you are using.*
Comments:
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
3b. If you answered “no,” provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
4b. Describe, in detail, the treatment methods and dispositions (non-discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
(check all that apply)
Yes No
Yes No
Yes No
N/A - project disturbs < 1 acre
Hint: projects that have vested rights, exemptions, or grandfathering from state or locally implemented stormwater programs or projects that satisfy state or locally-implemented stormwater programs through use of community in-lieu programs should answer
no to this question.
Local Government State
If you have a local government approval please include the SMP on their overall impact map.
Phase II NSW
USMP Water Supply
Town of Pittsboro
G. Supplementary Information
Yes No
Yes No
Yes No
We have reviewed the “Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs” document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in-fill, most residential subdivisions and small commercial developments as well as agricultural and
silvicultural operations. The Corbett Landing project is a residential development. Additionally, the project is located within the town of Pittsboro ETJ,
therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1) the Water
Supply, Watershed Protection Program which limits development densities as well as requires protective riparian buffers; 2) the Phase II NPDES
Stormwater Permit Program, this program includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to post-
construction stormwater management requirements. We anticipate that the DWR will advise us if any additional information is needed.
Yes No N/A
Non-discharge wastewater will be generated and treated at on-site wastewater or septic systems
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. Is another Federal agency involved?*
5e. Is this a DOT project located within Division's 1-8?*
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?*
5g. Does this project involve bridge maintenance or removal?*
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?*
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status (e.g., National Historic Trust
designation or properties significant in North Carolina history and archaeology)?*
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
8c. What source(s) did you use to make the floodplain determination?*
Comments
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No
S&EC completed a Threatened & Endangered Species Report, to include a Self-Certification letter through the US Fish & Wildlife Service (USFWS), a
query through the NC Natural Heritage Program database, and an official Species List through the iPac. A formal request was sent to the USFWS on
March 3, 2022. The USFWS has 30 days to respond from the date of the sent request. S&EC received no response from USFWS within the 30 days
meaning that they concurred with the determinations made by S&EC that the proposed actions is not likely to adversely affect any federally-listed
endangered or threatened species, their formally designated critical habitat, or species currently proposed for listing under the Endangered Species Act
(ESA). Please see attached S&EC Threatened & Endangered Species report.
Yes No
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website was referenced. No Essential
Fish Habitat was identified near the project.
Yes No
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on May 26, 2022, no historic listings or study list
entries or determined eligible listings were identified within the property boundaries. Please note that there is a surveyed only structure listed within the
property. This listing is the (London) John Williams House (CH0744).
Yes No
NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer.
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
*
· The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief’; and
· The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
· I have given true, accurate, and complete information on this form;
· I agree that submission of this PCN form is a “transaction” subject to Chapter 66, Article 40 of the NC General Statutes (the “Uniform Electronic Transactions Act”);
· I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the “Uniform Electronic Transactions Act”);
· I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
· I intend to electronically sign and submit the PCN form.
Full Name:*
Signature *
Date
Click the upload button or drag and drop files here to attach document
Corbett Landing_PCN Attachments.pdf 23.78MB
File must be PDF or KMZ
Signature
By checking the box and signing below, I certify that:
Camden Brunick
6/3/2022